Mary L. Power, PT

Individual provider Active NPI Physical Therapist · Ocean Grove, NJ

NPI 1184787350 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1184787350
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA00589800 (NJ)
Practice address
160 S Main St
Ocean Grove, NJ 07756-1013
Phone
(732) 775-0554
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00589800 NJ Yes

Addresses

Primary practice location

160 S Main St
Ocean Grove, NJ 07756-1013

Mailing address

2222 Sullivan TRL
Easton, PA 18040-7958

Other providers in Ocean Grove, NJ

All providers in Ocean Grove, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.